三分之一豬流感患者未出現發燒癥狀 中英文對照

　　 1/3豬流感患者未出現發燒癥狀

　　Many people suffering from swine influenza, even those who are severely ill, do not have fever, an odd feature of the new virus that could increase the difficulty of controlling the epidemic, said a leading American infectious-disease expert who examined cases in Mexico last week.  一名美國頂級傳染疾病專家稱，許多得了豬流感、甚至豬流感病情很重的人，都沒有出現發燒癥狀。病毒的這種奇怪癥狀可能會增加控制疫情的難度。他上周在墨西哥檢查過豬流感病例。

　　Fever is a hallmark of influenza, often rising abruptly to 104 degrees at the onset of illness. Because many infectious-disease experts consider fever the most important sign of the disease, the presence of fever is a critical part of screening patients.   發燒是流感的典型癥狀。在開始發病階段，體溫經常會躥升至104華氏度。因為許多傳染病專家都認為發燒是豬流感最重要的特征，因而在觀察病人時確認其是否有燒就十分重要了。

　　But about a third of the patients at two hospitals in Mexico City where the American expert, Dr. Richard P. Wenzel, consulted for four days last week had no fever when screened, he said.

　　    但是在美國專家Richard P. Wenzel醫生前往協助的兩家醫院里，他觀察到三分之一的豬流感病人在觀察期間沒有出現發燒癥狀。他上周在墨西哥待了四天。

　　“It surprised me and my Mexican colleagues, because the textbooks say that in an influenza outbreak the predictive value of fever and cough is 90 percent,” Dr. Wenzel said by telephone from Virginia Commonwealth University in Richmond, where he is chairman of the department of internal medicine.

　　 “這讓我和我的墨西哥同事們很驚訝，因為教科書告訴我們，當得了流感時，有90%的幾率會出現發燒和咳嗽”，Wenzel醫生在手機里說道。他現在在位于里士滿的弗吉尼亞聯邦大學，他是那兒的內科學院院長。

　　While many people with severe cases went on to develop fever after they were admitted, about half of the milder cases did not; nearly all patients had coughing and malaise, Dr. Wenzel said. Wenzel醫生還說，許多重癥患者在確診后，隨著病情加重還是會出現發燒；不過病情較輕的那一半人卻不會出現發燒癥狀。幾乎所有的患者都會出現咳嗽和不適的癥狀

　　Also, about 12 percent of patients at the two Mexican hospitals had severe diarrhea in addition to respiratory symptoms like coughing and breathing difficulty, said Dr. Wenzel, who is also a former president of the International Society for Infectious Diseases. He said many such patients had six bowel movements a day for three days.   。

　　    曾任國際傳染病學會會長的Wenzel醫生同時也說道，兩家墨西哥醫院的患者中有12%人除了出現諸如咳嗽、呼吸困難等呼吸道癥狀外，還腹瀉得很厲害。許多這樣的患者會連續三天，每天排便六次。

　　Dr. Wenzel said he had urged his Mexican colleagues to test the stools for the presence of the swine virus, named A(H1N1). “If the A(H1N1) virus goes from person to person and there is virus in the stool, infection control will be much more difficult,” particularly if it spreads in poor countries, he said.

　　    Wenzel醫生稱他已要求其墨西哥同事們檢驗那些患者們用過的廁所，看其中是否有豬流感——甲型H1N1流感病毒——的存在。“如果甲型H1N1流感病毒在人之間互相傳染，并且廁所中也有病毒的話，那么對其傳播的控制將會變得非常困難”，特別是其在貧困國家的傳播，他說道。

　　The doctor said he had also urged his Mexican colleagues to perform tests to determine whether some people without symptoms still carried the virus.   他說他還要求了他的墨西哥同事去檢驗在那些沒有臨床癥狀的人中是否攜帶豬流感病毒。并且也檢查了墨西哥國家疫苗項目的病人及數據。他是在主管該項目的Samuel Ponce de León醫生的邀請下參與的此項目。。

　　He also said he had examined patients and data at the invitation of Dr. Samuel Ponce de León, who directs Mexico’s national vaccination program.

　　    Wenzel醫生道，墨西哥疫情的不同尋常之處在于其復雜性，“在最近的幾個月里，五種不同的流感病毒同時在墨西哥傳播。”

　　Dr. Wenzel said that an unusual feature of the Mexican epidemic, which complicates the understanding of it, was that “in recent months five different influenza viruses have been circulating in Mexico simultaneously.”  Wenzel醫生訪問了墨西哥國家呼吸道疾病醫院，，這家醫院中患者患肺炎的人數在最近達到了120人/周，而在兩年前，每周患病人數才是20人。這顯示，豬流感和肺病也有某種聯系。

　　Pneumonia rates at one of the hospitals Dr. Wenzel visited, the National Institute for Respiratory Diseases, reached 120 per week recently compared with 20 per week during the past two years, suggesting a possible relation to the swine flu.

　　The pneumonias that the flu patients developed did not resemble the staphylococcal lung infections that were believed to be a common complication in the 1918-1919 influenza pandemic, Dr. Wenzel said.

　　患豬流感病人發展出的肺炎并不是葡萄球菌肺部感染。葡萄球菌肺部感染被認為是1918-1919年大流感的常見并發癥。 

　　He said the two Mexican hospitals were well prepared for an outbreak of respiratory disease. “We have a lot to learn from the Mexican experience,” he said.他稱，墨西哥醫院已經為呼吸道疾病的爆發做好了準備：“我們能從墨西哥的經驗上學到很多。”

　　For example, when the first cases were detected and the virus seemed particularly severe, Mexican doctors activated a program to allay anxiety among staff members.

　　    比如，當墨西哥出現第一例豬流感患者時，病毒看起來十分厲害。墨西哥的醫生們馬上在工作人員中激活了減壓程序。

　　Hospital officials made it clear that they would care for staff members, offering them information, a hot line, psychological support and medical examinations.

　　    醫院官員們很清楚地表示，他們將會照顧好工作人員，向他們提供信息、一條熱線、心理咨詢以及醫學檢查。

　　“This aspect of epidemic response is not well appreciated in the United States in my estimation, yet is critical for success,” Dr. Wenzel said. “We haven’t put nearly enough into managing fear among health workers.”

　　 “在我看來，美國對疫情反應在這一方面沒有做好，但是這對戰勝病魔很重要”，Wenzel醫生說道：“我們在控制醫務工作者的恐懼情緒方面投入得不夠。”

　　Hospital officials had good measures to screen workers and arriving patients, including supplies of alcohol sponges for people to clean their hands. Healthy nonessential workers were told to go home. Hospital officials also made sure there were enough breathing machines and oxygen canisters for patients with respiratory distress.

　　    墨西哥的醫院官員們對隔離觀察工作人員和病人們的工作有些好方法，比如為人們提供酒精消毒液洗手。醫療輔助人員們被告知回家。墨西哥醫院的官員們同樣還確保醫院有足夠的呼吸機以及氧氣管，以應對可能出現的病人呼吸道疾病爆發。

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